Redjamand, Mojgan

Redjamand, Mojgan is an individual health care provider with primary practice located at 1700 Hospital South Dr Suite 410, Austell GA 30106-6810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Redjamand, Mojgan can be contacted via phone (678) 741-2317.

Contact Information

Primary practice address
1700 Hospital South Dr Suite 410 Austell GA 30106-6810
Phone: (678) 741-2317
Fax: (678) 741-2301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN160834NP Georgia

Profile Details

NPI number 1538301718
LBN Legal business name Redjamand, Mojgan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2009
Last updated Oct 22nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538301718 NPPES
Georgia Other 202I508336 MEDICARE PTAN 202I508336
Georgia MEDICAID 847967037A MEDICARE PTAN 202I508336

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